- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,335.30 / $44,653.30 / $61,279.00
| Facility | | $22,335.30 | $44,653.30 | $61,279.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,197.90 / $36,294.00 / $59,321.03
| Facility | | $24,197.90 | $36,294.00 | $59,321.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $23,249.41 / $51,532.05
| Facility | | $100.00 | $23,249.41 | $51,532.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,352.19 / $42,215.04 / $56,652.48
| Facility | | $23,352.19 | $42,215.04 | $56,652.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,357.25 / $46,984.50 / $55,140.30
| Facility | | $32,357.25 | $46,984.50 | $55,140.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,998.69 / $30,746.06 / $58,292.00
| Facility | | $20,998.69 | $30,746.06 | $58,292.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,756.00 / $45,756.00 / $45,756.00
| Facility | | $45,756.00 | $45,756.00 | $45,756.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $23,058.43 / $52,757.57
| Facility | | $5,693.00 | $23,058.43 | $52,757.57 |